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ORIGINS FAMILY MEDICAL & WEIGHT LOSS CLINIC INC
NPI 1962835306
General Practice in Lake City, FL

Active since August 20, 2013CLIA 10D2063884 · Waiver
206 S MARION AVE, LAKE CITY, FL 32025(386) 755-5014(386) 755-3093 Get Directions Write a Review

NPPES record last updated: September 12, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Origins Family Medical & Weight Loss Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORIGINS FAMILY MEDICAL & WEIGHT LOSS CLINIC INC (NPI 1962835306) is a healthcare organization registered as a general practice in Lake City, Florida and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through August 8, 2027 and lists Duane E. Thomas, President/director, as its authorized official.

NPPES Registry Identity

NPI1962835306
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameORIGINS FAMILY MEDICAL & WEIGHT LOSS CLINIC INC
Location Address206 S MARION AVELake City, FL 32025-7058
Mailing Address194 Sw Wall TerLake City, FL 32025-5086 · (386) 719-9227 · Fax (386) 719-9488
Phone(386) 755-5014
Fax(386) 755-3093
Organization SubpartNo
Authorized OfficialDuane E. ThomasPresident/director · (386) 755-5014
Enumeration DateAugust 20, 2013
Last NPPES UpdateSeptember 12, 2013
✔ NPI 1962835306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
206 S MARION AVE, Lake City, FL 32025
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2063884

Origins Family Medical And Weight Loss · Lake City, FL
Active · expires Aug 8, 2027
CLIA Number10D2063884
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2025
Certificate Expiration DateAugust 8, 2027
Laboratory DirectorOsayande S. Izeiyamu
Laboratory Phone(386) 719-9227
Laboratory LocationOrigins Family Medical And Weight Loss194 SW Wall Terr, Lake City, FL 32025
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Origins Family Medical & Weight Loss Clinic Inc's NPI number?

The NPI number for Origins Family Medical & Weight Loss Clinic Inc is 1962835306. It was assigned to this organization in the NPPES registry on August 20, 2013.

Where is Origins Family Medical & Weight Loss Clinic Inc located?

Origins Family Medical & Weight Loss Clinic Inc is located at 206 S Marion Ave, Lake City, FL 32025. The listed phone number is (386) 755-5014.

What is Origins Family Medical & Weight Loss Clinic Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Origins Family Medical & Weight Loss Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2063884) is associated with this NPI, valid through August 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Origins Family Medical & Weight Loss Clinic Inc accept?

Health plans from Ambetter Health, Ambetter of Alabama and AvMed list Origins Family Medical & Weight Loss Clinic Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Origins Family Medical & Weight Loss Clinic Inc was last updated on September 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.